Charcot neuroarthropathy

Charcot neuroarthropathy is a rare disease (1-2 cases in every 1000 patients) in persons with DM. It usually affects (monoarthritis) the foot (tarsal and metatarsophalangeal joints). The characteristics of the person with DM who develops the disease are:

1. long duration of the illness (> 10 years);

2. poor glycaemic control;

3. usually insulin-dependent DM;

4. peripheral neuropathy and absence of pain (causative factor);

5. coexistence of other complications.

This condition is due to invisible small trauma and microfractures that are favoured both by the diabetic osteopenia and by the severe neuropathy. It leads to destruction and complete disorganization of the joint. The foot is deformed and oedematous and predisposed to the appearance of neuropathic ulcers (see detailed description in Chapter 17 and Figure 17.3 and 17.4).

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

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